ACORD® CERTIFICATE OF LIABILITY INSURANCE [ “eens |
. 10/01/2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such
PRODUCER CONTACT
American Specialty Insurance & Risk Services, Inc. GHONfo, exp: 260-969-5203 TRE, Noy: 260-969-4729
ADDRESS:
7609 W. J efferson Blvd., Suite 100 ING COVERAGE NAIC #
Fort Wayne IN 46804 insurer a: Arch Insurance Company 11150
INSURED INSURER B :
Virginians for Alternatives to the Death Penalty iSURERE?
P.O. Box 12222 INSURER D:
INSURER E:
Richmond VA_23241 INSURER F:
COVERAGES CERTIFICATE NUMBER: 1001604919 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR [ADDL /SUBR] POLICY EFF | POLICY EXP
NSE TYPE OF INSURANCE iNsD | WWD. POLICY NUMBER (MMDBIVYYY) | (MMIDBIVYYY) LIMITS
3X | COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
TORENTED
CLAIMS-MADE PREMISES (Ea occurrence) |$ 1,000,000
MED EXP (Any one person) | $ 5,000
A N SNCGLO915700 10/15/2018 | 10/26/2018 | persona gaovinjury [$1,000,000
GEN AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE | _5,000,000
X]eoucy | ]F8% [_Jroc PRODUCTS -comioP acc | s 5,000,000
OTHER $
COMSRED SNGTE CIT
AUTOMOBILE LIABILITY EME 3
ANY AUTO BODILY INJURY (Perperson) | $
[| owneo scepuLeo
OWNED scueo BODILY INJURY (Per accident] &
— NON-OWNED FROFERTY DAWAGE ,
AUTOS ONLY AUTOS ONLY eraccdend
$
UMBRELLA LIAB occur EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
veo | [Retentions
WORKERS COMPENSATION TER oF
ANYPROPRIETORPARTNER/EXECUTWE E.L. EACH ACCIDENT $
OFFICER MEMBEREXCLUDED Nia
(Mandatory in NH) E.L. DISEASE -EA EMPLOYEE| $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE -Pouicy Limit | $
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
- Evidence of coverage as respects to the VADP AWARDS LUNCHEON on October 20, 2018.
CERTIFICATE HOLDER CANCELLATION
Virginians for Alternatives to the Death Penalty
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
P.O. Box 12222
AUTHORIZED REPRESENTATIVE
Richmond VA 23241 Daw So!
1
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